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Published on: July 5, 2021
Clinical management of emerging sinonasal malignancies
Kevin J Contrera1, Neil M Woody2, Mobeen Rahman3
1Head & Neck Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Abstract:
Several emerging sinonasal malignancies have recently been described in the pathology literature. Although not all distinctly classified by the World Health Organization, these rare tumors present a management challenge to surgeons and oncologists. While prior studies have summarized histologic details, a clinically focused review is currently lacking in the literature. This review describes the presentation, histopathology, imaging, treatment, and prognosis of newly described or recently evolving sinonasal malignancies while highlighting the distinguishing features of these entities. It includes teratocarcinosarcoma, human papillomavirus-related multiphenotypic carcinoma, biphenotypic sinonasal sarcoma, sinonasal renal cell-like adenocarcinoma, NUT-midline carcinoma, squamous cell carcinoma associated with inverted papilloma, sinonasal undifferentiated carcinoma, and INI-1-deficient sinonasal carcinoma. By describing the diagnosis, treatment, and prognosis of these recently defined entities, this clinical review aims to help guide oncologists in the clinical management of these patients.
Insights
This review details emerging sinonasal malignancies, including their clinical presentation, diagnosis, and treatment. It aims to guide oncologists in managing these rare and challenging tumors.
Area of Science:
- Oncology
- Pathology
- Otorhinolaryngology
Background:
- Several new sinonasal malignancies are emerging, posing challenges for clinicians.
- Existing literature lacks a clinically focused review of these rare tumors.
- Accurate diagnosis and management are crucial for patient outcomes.
Purpose of the Study:
- To provide a clinically focused review of newly described sinonasal malignancies.
- To summarize presentation, histopathology, imaging, treatment, and prognosis.
- To aid oncologists in managing these challenging entities.
Main Methods:
- Literature review of emerging sinonasal malignancies.
- Focus on clinical presentation, histopathology, and imaging.
- Synthesis of current treatment strategies and prognostic data.
Main Results:
- Detailed descriptions of teratocarcinosarcoma, HPV-related multiphenotypic carcinoma, biphenotypic sinonasal sarcoma, and others.
- Highlighting distinguishing features for diagnosis.
- Summarizing management and prognosis for each entity.
Conclusions:
- Early recognition and accurate diagnosis are key for effective management.
- This review provides essential clinical guidance for rare sinonasal tumors.
- Further research is needed to optimize treatment protocols for these malignancies.
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